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1700432622
AUDRA CORONA IBARRA
PHOENIX, AZ
NPI
1700432622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 228643)
Enumeration Date
2019-08-15
Last Update Date
2020-01-06
Business Address
AUDRA CORONA IBARRA
3540 E BASELINE RD STE 130
PHOENIX, AZ 85042-9629
Phone number: 623-251-7559
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Mailing Address
AUDRA CORONA IBARRA
3317 S HIGLEY RD STE 114-157
GILBERT, AZ 85297-5443
Phone number: 480-203-6456
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